JASON DOMINICK CHODAKOWSKI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

ACTIVE

Business

Title

First Name

JASON

Middle

DOMINICK

Last Name

CHODAKOWSKI

Business Name

JASON DOMINICK CHODAKOWSKI MD

Original Issue Date

05/28/2019

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023